Members
present:
Marv Birnbaum
Cheryl Glomp
Dan Williams
Gloria Murawsky
Dick Collyard
Mark DeGuire
Gloria Wall
Tim Bjelland
Steve Teale
Bureau
Staff:
Nan Turner
Rick Barney
Jon Morgan
Others
in Attendance:
Representing:
Patricia Padjem
UW EMS Program
Mary Austin
Monroe Clinic
Debra Sweeney
Monroe Clinic
Sharon Thorpe
Wausau Hospital
Sam Palzkill
Curtis Ambulance
Ronald Meyer
Oconomowoc Hospital
Lorie Utech
Pro-Health Care Inc
Larry Knuth
Paratech Ambulance
Kim Pemble
Infinity Healthcare
Chris Felton
Infinity Healthcare
Robin Blankinship
Gateway Tech
Jim Keiken
Madison FD
Kenny Asselin
West Bend Firefighter
Jeff Petermann
West Bend Firefighter
Judy Jones
Luther – Eau Claire
Keith Kesler
Douglas Co. Emergency Mgt.
Kathy Crandall
EMS Coordinators
Dave Henning
Gold Cross Ambulance
Don Kimlicka
Gunderson Lutheran – LaCrosse
Mark Madigan
County Rescue
Robin Schultz
Sacred Heart Hospital – Eau Claire
Jon Schultz
Eau Claire FD
Scott Schneider
Two Rivers FD
Carol Immermann
Franciscan- Skemp – La Crosse
Len Orlando
Green Bay Fire Dept / PFFW
Pat Kilbane
PFFW/Janesville FD
Paulette Hesch
Franciscan Skemp
Agenda
item #1
Introductions
Dan
Williams called the meeting to order at 10:00 at the Crowne Plaza, Madison.
Everyone in attendance introduced himself or herself.
Motion
by Gloria Murawsky, Second by Dick Collyard to accept the January, 2001 Board
minutes. Unanimous approval.
Chris
Felton, Kim Pemble and Bill Bazan presented a computer database that provides
real time information about hospital emergency department status: open or closed
and need for diversion. The system
allows providers to manage patients because of upfront information about current
resources at hospitals. Other
potential uses include: early identification of bioterrorism illness, AHA stroke
study, EMS run reporting, trauma care, public health, and others??.
·
Policy
& Practice
Dick
Collyard reported on the committee meeting.
HFS 110 is now in place, but two items were accidentally left out of the
rule: EMT-basic IV training permit language and preceptor qualifications.
The committee recommended elimination of the need for training permits at
all levels. Motion
by Dick Collyard to eliminate training permits at all levels, second by Cheryl
Glomp. All present - Aye. This will require a change in statutory language.
Most
of the committee work is being done with HFS 111. The document has been reviewed and forwarded to the EMS
Section with recommendations for changes.
The
interfacility document will be ready for review by the committee at the May
meeting.
Mark
DeGuire reported on the committee meeting.
The committee reviewed the new state electronic operational plan template
and discussed how it can be utilized in the CQI process.
Marv
Birnbaum reported on the continued work of the Systems Committee. Major
projects:
1)
Dispatcher surveys were sent to sheriffs and emergency management
directors. Responses were still
coming in, but it was clear there are a lot of unknowns and that not all people
understand medical dispatch. The
committee discussed interest shown by the press and a legislator about requiring
medical dispatch training and the difference between dispatchers &
communicators. The committee will
meet on April 5th at 4:00 following the administrator's track at the
Paramedic Seminar in Oshkosh. The
committee feels they have made contact with key stakeholders and will report to
the Board in May and to the NHTSA review in April.
Education
Gloria
Murawsky reported that the committee reviewed the status of training at all
license levels and also reviewed the new EMT-Intermediate curriculum.
There was also discussion of the need for a critical thinking module at
the EMT-basic level. It was thought that this could be evaluated at the EMT-basic
IV level first. It was also
reported that there are 2 committee members whose terms have expired.
EMS-Children
An
update was given on the PEPP (Pediatric Education for Prehospital Professionals)
courses being sponsored in the state. The 2nd Annual EMSC & Injury conference is
scheduled for October in Wisconsin Dells. A
course to train schoolteachers in BLS is being planned for this summer.
The goal is to get them to include this training in the school
curriculum.
Agenda
item #5 Medical Director Report
Dr.
Rick Barney talked about the rollout of the IV Tech and the development of a
sample set of protocols that can be used as minimum guidelines.
He also discussed the difficulties with completing the EMT-Intermediate
curriculum because it's based on the paramedic curriculum.
There has been a line by line assessment of the curriculum which was
reviewed by the Physician Advisory Committee (PAC).
The final steps are review of the new National Registry EMT-I exam and
the rollout in the fall.
·
The MD course which
is complete except for one chapter. It
will be reviewed at the next PAC meeting, will be web based and the target date
for release is Dec. 31, 2001 with a recommendation to have all EMT-I and EMT-P
medical directors take the course.
·
PEPP course is being
suggested as a replacement for current pediatric curriculum.
NO decision has been made & Dr. Perloff is doing a line by line
comparison.
·
A demonstration was
given of CPAP at the last meeting and PAC recommended its use be approved for
EMT-P and EMT-I services.
·
Preparing for NHTSA
reassessment April 23-26. Most of
the areas that are incomplete from the last assessment are related to lack of
funding or legislation.
·
Trauma Plan.
A presentation is planned for March 20 to the Senate Human Services
Committee.
Nan
Turner reported on the following items:
·
NHTSA reassessment
site visit is scheduled for April 23-26. There
was a discussion about presenters and how they would be determined.
·
HFS 110/112 - The
EMT-basic rule (HFS 110) became effective March 1, 2001.
The EMT-paramedic rule (HFS 112) is at the legislature.
A hearing is scheduled for March 28.
STAC
Update – The Statewide Trauma Care System Plan has been completed and is at
Joint Finance. Nan Turner
& Jon Morgan gave a presentation as an overview of the trauma plan proposal.
Agenda
Item #7 - Board & PAC members with terms about to expire
Dan
Williams discussed committee members with expiring terms. Committee appointments will be considered in May after the
Board has a better idea of its short and long term focus. The Board's plan is to:
·
Reevaluate
issues not completed and prepare for NHTSA
·
Reevaluate
the current task list
·
Put
a hold on any new initiatives
·
Review
the current State EMS Plan for each focus area
·
Consider
using April to complete any pending work
The
Board will look at holding a retreat in June to identify priorities. It is likely that some of the NHTSA recommendations will be
the focus of activities in the upcoming year.
Agenda
Item #8 - - Old/New Business
There
was a discussion of the problems that arise when hospitals divert patients.
The EMS Board stated this was outside their role, but requested that DHFS
look into it. Motion by Marv Birnbaum to
recommend DHFS convene a statewide task force to review problems with diversions
and emergency department overcrowding, second by Mark DeGuire.
All Present - Aye.